The aim of this prospective randomized study was to compare the effectiveness of pulse oximetry and ST Analysis of the fetal ECG, and to determine which method was better at identifying the labour which could continue to deliver a healthy newborn.

The objective of this revision was to compare the results of the current standard intention-to-treat (ITT) analysis with the results of the previously published Swedish randomised controlled trial (RCT), and to perform a retrospective quality control and reanalysis of the data.

The Dutch Randomized Controlled Trial on ST Analysis is published in the June issue of Obstetrics & Gynecology – The Green Journal. The trial is one of the largest ever within obstetrics, and it confirms the results from the previous RCTs with the conclusion that ST Analysis as an adjunct to CTG “…substantially decreases the incidence of (metabolic) acidosis.”
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Large randomized controlled study from Utrecht in the Netherlands confirm the clinical benefits of ST Analysis
This …

The long-term cost-effectiveness of fetal monitoring during labour: a comparison of cardiotocography complemented with ST analysis versus cardiotocography alone
E Heintz,a T-H Brodtkorb,a N Nelson,b L-A Levinaa.
The purpose of the study was to evaluate the cost-effectiveness of ST analysis compared to that of CTG alone. The authors used a decision model with baseline estimates derived from the literature. The result shows that ST analysis is a cost saving method compared to CTG alone in the long term perspective, including …

This prospective clinical study1 investigated the improvements in quality-of-care after the introduction of ST Analysis in a Swedish district hospital. Data was collected during seven years and almost 13,000 deliveries were included in a detailed analysis. The number of deliveries increased by 47% during the time period, and during the same period the usage of CTG + ST Analysis increased from 26 to 69%. The rate of cord gas sampling also increased and was 96.3% in 2007.
The cord metabolic …